Figure 9.

(A) Final defect after surgery of basal cell carcinoma on the left temple. Design of a preauricular advancement flap with an infra-lobular Burow’s triangle plus a small transposition flap on its distal end. (B) Flap lifted on the subcutaneous plane, (C) and pulled into place with a dissecting hook. (D,E) Guitar-string suture to reduce the width of the defect and donor site. (F) Immediate result after layered sutures with 4/0 polyglactin and 6/0 silk. (G,H) Appearance 1 and 10 days later, respectively.